Research: Delayed Diagnosis of a Bilateral Congenital Diaphragmatic Hernia in an Infant: A Rare Case Presentation

Cureus

. 2025 Jan 25;17(1):e77968.

 doi: 10.7759/cureus.77968. eCollection 2025 Jan. https://pubmed.ncbi.nlm.nih.gov/39867512/

Delayed Diagnosis of a Bilateral Congenital Diaphragmatic Hernia in an Infant: A Rare Case Presentation

Fatema Alameen 1Rashed Almusalam 1Meaad Alansari 2Abdulrahman Alshafei 3

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Abstract

We report the case of a four-month-old male infant diagnosed incidentally with bilateral congenital diaphragmatic hernias. Our patient was found to have chest asymmetry during an unrelated hospital visit and bilateral diaphragmatic defects were confirmed on cross-sectional imaging. Surgical repair of a right-sided Bochdalek hernia and a left-sided Morgagni hernia was performed with excellent outcomes. This case report documents the rare occurrence of a bilateral late-presenting congenital diaphragmatic hernia, augments the limited existing knowledge, and highlights the variability in clinical outcomes. It provides valuable perspectives on the potentially improved survival rates in the uncommon manifestations of this condition.

Keywords: bilateral diaphragmatic hernia; bochdalek hernia; congential diaphragmatic hernia; diaphragmatic hernia repair; late presenting cdh; morgagni diaphragmatic hernia; pediatric surgery outcomes; rare pediatric presentations.

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